SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

SAN DIEGO, CA
NPI1023425972
Doing Business AsTARGET CLINIC MEDICAL ASSOCIATES OF SOUTHERN CALIFORNIA
Entity TypeOrganization
Authorized ContactRAMIN DAVIDOFF
Executive Medical Director
877-608-0044
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2014-07-11
Last Update Date2021-11-02
Business Address
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1288 CAMINO DEL RIO N
SAN DIEGO, CA 92108-1511
Phone number: 877-608-0044
Mailing Address
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
393 E WALNUT ST PROVIDER ENROLLMENT, 3RD FLOOR
PASADENA, CA 91188-0001
Phone number: 877-608-0044